2022-2023 BH MSA Annual Report

2022-2023 BH MSA Annual

REPORT

Table of Contents Strategic Overview ..............................................................................................02 MSA President's Message .......................................................................................03 Site Medical Director & Executive Director BH & Health Services Message............................. 04 Message from Foundation ...................................................................................... 06 Alignment & Operation Subcommittee .......................................................................07 Communication Subcommittee ............................................................................... 08 Quality Improvement Subcommittee ......................................................................... 09 Information Technology Subcommittee ..................................................................... 11 Wellness Subcommittee ........................................................................................ 12 Education & Leadership Subcommittee ...................................................................... 13 Redevelopment Project .........................................................................................14 Financial Report ..................................................................................................16 The People Behind the MSA .....................................................................................17

01 l TABLE OF CONTENTS 01 | TABLE OF CONTENTS

BH MSA Executives

Secretary

MSA President

Treasurer - Society

VISION Engaged medical staff providing exceptional patient care

Dr. Scott McGuffin

Dr. Donna Sue

Dr. Vishal Gupta

STRATEGIC OVERVIEW

Dr. Joanne Rowell-Wong Treasurer - Association

MISSION Advance broad and meaningful physician relationships that serve to enrich interphysician communication and better unify the voices of Burnaby Hospital physicians.

Institute evidence-based patient care initiatives that enhance quality, safety, satisfaction, and/or value.

Develop a constructive partnership with local and regional administration that seeks to create, improve, and maintain effective and efficient healthcare delivery at Burnaby Hospital.

Foster relationships with community healthcare providers and other stakeholders that serve to heighten patient care via education, coordination, and collaboration.

STRATEGIC PRIORITIES Improve Professional and collegial communication with key stakeholders such as local health administration, regional health administration, other medical staff & Information Management and Information Technology Promote a learning culture that supports appropriate medical staff advocacy for patients and changes to Health Care.

Engage in significant decisions that affect medical staff and the delivery of services.

Advocating for a culture of wellness including diversity, inclusiveness, equity, and supporting initiatives that create a healthy, resilient, and valued community of medical staff in Burnaby Hospital 02 | STRATEGIC OVERVIEW

President's Message Dr. Donna Sue, MD MSA President

It is with great pride and gratitude that I reflect on another year of exceptional accomplishments by our diverse medical staff at Burnaby Hospital. I see the passion and dedication in the work you do, the strive for continual improvement for our work environment, and the desire to provide the best care possible to our patients.

Over the past year, our world has faced unprecedented challenges, demanding more from our medical staff than ever before. From increased patient volumes and acuity, unrelenting overcapacity, and even the excitement of embarking on the transformative journey of redevelopment, the MSA has continued to advocate for you, to bring your voices to decision-making tables in respectful yet powerful ways, to bring positive and needed changes to our work spaces to uplift the care for our patients.

Internally, the MSA experienced many changes this year with turnover of support staff and new additions to the governance table and the working group. We are thankful to those who came before us, who set us on this collaborative pathway, who built the structures and the processes, and who are still providing guidance and support, cheering for our success. As the year progressed, we learned to accept that change is a constant and challenges became opportunities. I am proud that our medical staff can face adversity as a cohesive group, stand together in support of each other, have varied opinions yet support the common goal, providing exceptional patient care.

We continue to focus on our strength which is our people; supporting the well-being of our medical staff with nutritional supplies in the Doctors Lounge, and developing our peer support program to be a beacon of support. In addition, we prioritized development for our leaders by providing experiences through the Director at Large program, by supporting our Medical Women Leaders to grow as a community, and by offering tools learned through leadership courses taken together. We emphasized quality improvement to enhance the care for our patients by reducing unnecessary tests, developing new pathways, and collating resources. We approached Health Authority initiatives with collaboration, through the contributions of our local EHR Task Group.

As we continue to embark on the journey of redevelopment at Burnaby Hospital, we recognize that it will require patience, resilience and adaptability from all of us. We remain steadfast in our commitment to advocate for minimal disruptions to patient care and ensure a smooth transition through each phase of redevelopment.

I would like to express my deepest gratitude to our medical staff community for believing in the work we are doing through the Facility Engagement Initiative. My commitment to you is to continue to strengthen our internal processes, become more transparent through better communication and listening to your feedback. By aligning MSA innovations with that of our site and region, we ensure our vision of an engaged medical staff providing exceptional patient care will continue to be the “North Star” that we follow.

03 | PRESIDENT'S MESSAGE

Message from BH Senior Executives A Remarkable 2022/23 What a remarkable year it has been as our hospital campus begins its transformation and construction reaches the top floor of the Ms. Leanne Appleton expanded Support Facilities Building. Amidst all this, what has Dr. Ish Amhed, MD Executive Director BH & BH Site Medical Director Health Services stood out is the collaborative planning efforts of our medical staff, medical and operational leaders, and the redevelopment team.

One of the earliest renovations was the new, interim Doctor's Lounge, which has received positive feedback. The space has fostered continued collaboration among the medical staff as well as hosting various MSA events and activities.

The intense and focused planning and execution of temporary moves for the Emergency Department Zone 3 and Community Outpatient Services were also admirable. The medical staff were committed, eager, and actively involved to ensure smooth operations and safe patient care.

Another highlight was receiving the National Surgical Quality Improvement Program - Most Meritorious Award for 2023. This recognition underscores the commitment to providing highquality patient care and excellence in surgical services. The large interdisciplinary teams at Burnaby Hospital have demonstrated exceptional dedication and it is a testament to their efforts that Burnaby Hospital has consistently received the "most meritorious" awards among all participating sites year after year.

We are proud of the strides we have made and remain hopeful about the promising future that lies ahead.

Looking Ahead to 2023/24 – The Possibilities Continued efforts to strengthen the relationships between dyads and triads involving Local Department Heads, Operational Managers, and Operational Directors will remain a key goal. In June, a Multi-disciplinary Healthcare Coordination Committee (MHCC) meeting was held outdoors under the gazebo. It provided an opportunity to address the challenges and necessary changes and generate new ideas related to Phase 1 Redevelopment.

There will be a particular focus on new models of care in response to challenges with site capacity and occupancy, emergency visits, and site congestion. A working group is exploring opportunities to decrease the length of stay for medical patients by one day and improve hospital outflow. Virtual care is also being explored by leaders across Emergency, Hospitalists, Internal Medicine, and various support services (Lab, Medical Imaging, Registration, and Pharmacy).

04 | SITE MEDICAL DIRECTOR & EXECUTIVE DIRECTOR BH & HEALTH SERVICES MESSAGE

Message from BH Senior Executives Dr. Ish Amhed, MD

Ms. Leanne Appleton

BH Site Medical Director

Executive Director BH & Health Services

Other changes include the upcoming opening of the Pediatric Rapid Access Clinic and the planning for a potential Respiratory/Pulmonary Rapid Access Clinic - both aiming to reduce Emergency Department visits.

Throughout all these initiatives, the collective goal is to try out new processes, learn from the results, and continuously improve together. We embrace openness to innovation, always striving to deliver the best patient care despite the challenges posed by significant staffing shortages across many specialties.

The continued collaboration between medical staff, operational leaders, and staff is pivotal in building a shared, unified vision for our hospital's future. This collaborative approach enables true transformation for Burnaby Hospital - a transformation driven by our teams and not solely by the opportunities presented by the redevelopment project.

We want to express our deep gratitude to all medical staff and the MSA Executive for their unwavering commitment to our patients, our hospital, and to each other during these challenging times. Together, we will continue to navigate the path towards a brighter future for Burnaby Hospital and the community we serve.

05 | SITE MEDICAL DIRECTOR & EXECUTIVE DIRECTOR BH & HEALTH SERVICES MESSAGE

Message from Foundation

Kristy James

Together, we have accomplished so much in the past year.

Incredible progress has been made in the construction of our new and upgraded facilities and we take great pride in our community’s willingness to donate to their local hospital.

Foundation President & CEO

We also recognize that this past year has been grueling, demanding and frustrating for you, our doctors. The challenges that you face are complex and of the utmost importance to the health of our community.

I have heard time and again that patients who receive care at our hospital feel like they are treated like family, and that has helped give purpose to the meaningful work that we all do. I am proud to work alongside our dedicated medical staff who continue to persevere with a smile on their faces and a warm welcome to the next patient.

The Foundation is here to support our physicians. We work tirelessly to advocate for better equipment and technologies to make the life-saving work that you do just a little bit easier. Our Bright Future redevelopment brings more space and better equipment to our medical and support staff, allowing access to resources that contribute to your goals of better patient care.

The Foundation reached significant milestones this past year, including breaking ground on our Bright Future redevelopment and raising $30 million to reach our first major fundraising target. Our physicians had a large part to play in helping the Foundation raise much-needed funds, and for that we cannot express enough gratitude. You are the faces that patients see and the ones they trust to provide compassionate care when they need it most.

On top of being our frontline champions, you have attended our fundraising events, donated towards our campaign and have become vocal advocates for the Foundation. With every word spoken and action taken in support of Burnaby Hospital, your colleagues, patients and so many others in the community are inspired to follow suit.

Once again, thank you for playing such a crucial role in healthcare and in supporting your hospital.

Sincerely yours, 06 | MESSAGE FROM FOUNDATION

Alignment & Operations Subcommittee

Dr. Donna Sue, MD

The Alignment and Operations Subcommittee recognizes the importance of collaboration, alignment and operational efficiency in delivering exceptional patient care and advancing our collective mission.

MSA President

This past year has brought forth unique challenges and opportunities that have required us to adapt and evolve. We have witnessed the resilience and dedication of our medical staff as we navigated the complexities of a changing healthcare landscape. By fostering collaboration and synergy across acute and community care, we looked at areas for maximizing our collective impact on patient outcomes.

Operational efficiency is crucial to our work and looking at optimizing processes, reducing administrative burdens and streamlining workflows are integral to improving patient experiences.

Through ongoing dialogue and collaboration with hospital administration, we are working towards aligning our strategies to be innovative, to be bold in trialing new ideas and to continually learn and not be afraid when first attempts in learning lead to new opportunities.

07 | ALIGNMENT & OPERATIONS SUBCOMMITTEE

Communication Subcommittee The Communications Subcommittee would like to highlight the ongoing commitment to having the Doctors Lounge as our communications hub. By attracting medical staff with morning coffees and lattes, regular treats for waning blood sugars throughout the day and night, and providing regular updates of activities and events through notices and colourful posters, the Doctors Lounge plays an integral part in the life of medical staff. The Doctors Lounge was successfully moved from the second floor to our new location on the third floor as part of the redevelopment of Burnaby Hospital. Although the footprint is smaller, the new Lounge is welcoming, lightfilled, and cozy. Kudos to the Redevelopment team for making the transition seamless.

Thank you for your patience, as with any renovations, timelines are just a guideline.

For those savvy with social media, our BHMSA Instagram account also is a good source to keep up to date with local events and activities.

The Drs Digest is our monthly newsletter that brings you news of your medical staff community and another channel to keep you well informed.

Through personal, digital and old-fashioned printed channels, the Communications Subcommittee is dedicated to keeping you informed in a timely manner of what you need to know about the BHMSA, thus contributing to our Vision of Engaged Medical Staff Providing Exceptional Patient Care!

Dr. Donna Sue, MD MSA President

The BHMSA website is important for providing medical staff with information about activities, events, projects and processes. Despite the challenges and changes encountered throughout this year, our goal is to maintain the website with regular up to date content and be the go-to for accessible information for medical staff. Check it out at bhmsa.ca and use it to pay your annual medical dues.

Scan or click on QR code to pay annual medical dues

08 | COMMUNICATION SUBCOMMITTEE

Quality Improvement Subcommittee As we wrap up the fiscal year 2022-2023, I wanted to take a moment to reflect on our Quality Improvement (QI) Subcommittee Journey.

Dr. Melissa Allan, MD Throughout the past year, we witnessed a shift in QI Subcommittee Lead

focus among our medical staff, from predominantly prioritizing COVID-related matters to embracing projects aimed at enhancing patient care at Burnaby Hospital. The QI Subcommittee successfully supported a total of 11 projects, consisting of 5 Kickstarter projects and 6 full projects. Below are the accomplishments of a few of these projects: Project: Quality Café 2022-2023 Goals: Provide a platform to share and highlight QI projects and ideas at BH. Obtain input and ideas from medical staff colleagues, the site executive director, and QI experts on successfully navigating Burnaby Hospital.

09 | QUALITY IMPROVEMENT SUBCOMMITTEE

Quality Improvement Project Highlights Project: FAST Pathway Same-Day Discharge for Total Hip and Knee Arthroplasty Background: Prior to the FAST Pathway, there was no formal opportunity for elective total hip and knee arthroplasty (THA/TKA) patients to participate in same-day discharge (SDD). SDDs were done ad hoc for only select THA patients. Literature demonstrates SDD pathways, including both elective THA and TKA, help reduce the length of stay, increase access and flow, improve patient satisfaction, with non-inferiority in patient safety.

Aim: By December 2023, 90% of booked low-risk elective THA/TKA patients following the FAST Pathway at Burnaby Hospital will be a successful SDD Preliminary Results: FAST pathway SDD success rate is 84.5% as of May 30 2023. SDDs have increased from 7.4% to 21% post FAST pathway, from November 1, 2022 to February 28, 2023.

Scan or click QR code to view project poster

Project: Stop the group and screen!

Background: Currently, all patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA) at Burnaby Hospital undergo a routine group and screen, even though it is not recommended for low-risk surgeries. This unnecessary testing can potentially harm patients and increase laboratory costs and time.

Aim: By March 31, 2023, the number of inappropriate group and screen tests performed on TKA and THA surgeries at Burnaby Hospital will decrease by 80%.

Results: A chart demonstrating a reduction in group screen tests from 100% to 0% is provided.

Scan or click QR code to view project poster

10 | QUALITY IMPROVEMENT SUBCOMMITTEE

Information Technology Subcommittee The Information Technology (IT) subcommittee is focused on promoting the awareness, understanding, development, and implementation of information technology healthcare solutions for the Burnaby Hospital Medical Staff (MSA).

Over the past few years, this subcommittee put on IT workshops, provided Dr. Andy Chan IT Subcommittee Lead recommendations on Virtual Healthcare, facilitated engagement and usage of new FHA Information Management/Information Technology (IMIT) products such as Front End Speak Recognition (FESR) and Microsoft Office 365, and supported the development of our BHMSA.ca website.

During the 2022/23 year, two of our members (Dr. Galina Vorobeychik and Dr. Marketa Van Den Elzen) worked on a kickstart project, in which they collaborate with FHA IMIT team to adopt the Fraser Health Virtual Care (FHVC) platform for their Multiple Sclerosis (MS), Electroencephalogram (EEG), and Neurology clinics. The features include patient scheduling, virtual visit with video appointment reminders and preparations. The platform has results in improvement of patient care, reduction of no-shows, and decreased burden of administrative staff.

This project has been a success and highlight for the IT committee of the 2022/23 year, and both Dr. Vorobeychik and Dr. Van Den Elzen look forward to helping other clinics/departments at the Burnaby Hospital to adopt FHVC. Over the last year, the IT committee has also increased the collaboration with FHA IMIT team and our Associate Chief Medical Information Officer (ACMIO) for Burnaby Hospital, Dr. Pierre Camateros. For example, under the leadership of Dr. Camateros, and our MSA President Dr. Donna Sue, an Electronic Health Record (EHR) Task Group consists of MSA staff representatives from various departments was formed. The Task Group works with FHA IMIT to observe the rollout of Meditech Expanse/ADVANCE at the pilot sites, and to prepare for the eventual rollout at the Burnaby Hospital. The IT committee has also worked with the FESR project team and our local leadership team to facilitate training and use of FESR among our MSA staff.

In May 2023, I have stepped down from the IT committee lead position, with Dr. Marketa Van Den Elzen becoming the new lead. Under Dr. Van Den Elzen’s leadership, the committee will continue the collaboration with FHA IMIT, and will encourage more MSA staff to engage in IT related initiatives/projects. In addition, with Dr. Pierre Scan QR code to view Virtual Care Camateros participating in our future IT committee meetings, we will work Virtual Visit Project Poster together to be the liaison between our MSA staff and FHA IMIT for both current and upcoming solutions/initiatives.

11 | INFORMATION TECHNOLOGY SUBCOMMITTEE

Wellness Subcommittee Dr. Jack Jay, MD

Dr. Chris Wu, MD

Wellness Subcommittee Co-Lead

Wellness Subcommittee Co-Lead

It’s been our privilege to lead the MSA wellness subcommittee since Jan 2022.

Our subcommittee’s strength is in its 12 members. We have amazingly different backgrounds and experiences from early to

late career physicians in 7 different specialties including hospital, internal, emergency and nuclear medicine, urology, psychiatry and general surgery.

We are proud of our subcommittee’s accomplishments over the past fiscal year. Our successes are numerous including peer support, meditation training, and social events like a post-pandemic healing concert and a New Year’s Eve skating party.

I’d like to highlight peer support training spearheaded by Dr Anna O’Malley. We’re grateful to receive teaching from experts like Drs Mayhew, Ruffo and Ayi-Bonte in both level one and more recently additional training with level two. Many Burnaby physicians are now in a position to provide peer support to our MSA members.

Another success story is the financial masterclass series. Through several zoom sessions with Alphil Guilaran and the Financial Literacy Council, we received financial advice for early, mid, late career physicians.

We envision more peer support training in the coming year. We’ll also be promoting and advertising peer support via a poster and updating the wellness section of the MSA website. We have approved kickstart funding for a project for de-stigmatizing mental illness for health care workers. We plan to organize a summer picnic for MSA members and their families and promote health and exercise with activities such as a 10K run and hikes throughout summer.

Thanks for your ongoing interest and support!

Drs Jack Jay and Chris Wu

New Year's Eve Skating 12 | WELLNESS SUBCOMMITTEE

Education Leadership Subcommittee

Dr. Tym Frank, MD Subcommittee Lead

The Education & Leadership’s biggest success for the 2022/23 fiscal year was the facilitation of the extension of the supporting women leadership program, which was renewed for the 2023/24 fiscal year. It was a great project that many participants found valuable and something we want to continue to carry out.

Over the last year, we have had a large transition in members, with members leaving the committee and new members joining. The change in members has brought many new ideas and opportunities for the subcommittee.

The Education & Leadership Subcommittee is planning on meeting in the fall with the goal of getting more ideas for subcommittee initiatives and enhancing the engagement of our members.

As our last meeting in the Spring had a turnout of only 4 attendees, we are striving to enhance the engagement aspect of our subcommittee.

13 | EDUCATION LEADERSHIP SUBCOMMITTEE

Redevelopment Project Phase one of the redevelopment project is progressing at full speed. In the coming months, the two new building structures will reach their final heights, and ongoing renovations to the existing Support Facilities Building will bring Dr. Brian McGowan, MD crucial upgrades to modernize the aging infrastructure. Also this year, we will Redevelopment Physician Lead begin operational readiness planning with our teams.

Phase two business case has been submitted to the government with anticipated approval in the near future. Phase two will encompass the addition of approximately 160 inpatient beds, a new medical imaging department, an expanded Emergency Department, and a new BC Cancer Centre. We extend our gratitude to everyone involved in the planning of our future campus of care. Your contributions have been instrumental in shaping the vision for the future Burnaby Hospital.

We acknowledge the challenges related to parking as we navigate the complexities of constructing a modern hospital while maintaining services for our patients. Patients and families are at the centre of our decision-making process and we appreciate your continued flexibility and understanding.

Despite the inconveniences and disruptions caused by the ongoing redevelopment, we’ve witnessed remarkable collaboration, creative solutions, and unwavering resilience within our hospital community. We remain hopeful and optimistic as we continue on this transformative journey.

14 | REDEVELOPMENT PROJECT

Redevelopment Project What a big year for the Burnaby Hospital redevelopment project. In 2022-2023, we: Broke ground on the two new buildings: the Keith and Betty Beedie Pavilion and the Support Facilities Building expansion.

Undertook fully-constructed model room reviews with over 150 staff and medical staff to test and refine the design of new operating rooms, patient rooms, clinic spaces, and more.

Welcomed our first and second crane on the construction site.

Began renovations within existing buildings.

Submitted the business case for Burnaby Hospital Redevelopment Phase 2 and BC Cancer Centre to the provincial government.

Completed excavation for the new Beedie Pavilion and started the ‘building phase’.

Celebrated our one-year anniversary of the start of construction for Phase 1.

We’ve made major strides in getting the new hospital off the ground and the work is well underway.

It will be another busy year - here’s what to expect in 2023-2024: Anticipated approval for phase two business plan to proceed.

Designs of the hospital will cross the finish line.

Structure of the six-storey Beedie Pavilion and seven-storey Support Facilities Building expansion will be complete by fall 2023.

Operational readiness planning and validation of staffing requirements will begin.

15| REDEVELOPMENT PROJECT

Financial Report Report

16 | FINANCIAL REPORT REPORT

Financial Report Report The People

Behind the MSA 2022-2023 THANK YOU FOR ALL OF THE TIME AND EFFORT SPENT TO SUPPORT OUR MEDICAL STAFF ASSOCIATION

EXECUTIVE TEAM Dr. Donna Sue, President Dr. Scott McGuffin, Secretary Dr. Vishal Gupta, Society Treasurer Dr. Joanne Rowell-Wong , MSA Treasurer

Dr. Rebbecca Nelson, Director at Large Dr. Helena Lee, Director at Large Dr. Julia Stewart, Director at Large Dr. Iram Yunus, Director at Large

WORKING GROUP Dr. Andy Chan Dr. Buldip Khosa Dr. Charlene Lui Ms. Dawn Henderson Dr. Donna Sue Dr. Debbie Basco Dr. Ethan Reiner

Dr. Gavin Gracias Dr. Helena Lee Dr. Joanne Rowell-Wong Dr. Julia Stewart Dr. Kara-Marie Nedd Dr. Kristel Lobo-Prabhu Ms. Leanne Appleton

Dr. Maria Wu Dr. Melissa Allan Dr. Rebecca Nelson Dr. Scott McGuffin Dr. Tiffany Winstone Dr. Vishal Gupta

PROGRAM SUPPORT STAFF Janice Eng, Progaram Manager Maryam El Tawil, QI Project Manager Katarina Gajic, Project Coordinator Davis Sue, Financial Coordinator Angela Sue, Physician Lounge Coordinator Rita Cormier, EHR Consultant

17 | THE PEOPLE BEHIND THE MSA

*Carrolyn Sami, Program Manager *Lina Thompson, Program Manager *Lisa Tam, Communications Consultant *Stephanie Rudnisky, Project Coordinator *Tracey Huang, Project Coordinator Note:

* no longer with BH

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